Organization
TRINITY DIALYSIS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADETOLA AKINTADE (CEO)
(404) 763-0405
Entity
Organization
Contact information
Practice address
1354 CLEVELAND AVE, EAST POINT, GA 30344-3431
(404) 763-0405
(404) 763-4223
Mailing address
1354 CLEVELAND AVE, EAST POINT, GA 30344-3431
(404) 763-0405
(404) 763-4223
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000933831A
—
GA
Enumeration date
10/03/2005
Last updated
12/30/2024
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